| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $70.79 | |
Aetna
| Professional | $30.90 | $64.57 | $83.18 | |
Ambetter
| Professional | $17.38 | $72.44 | $104.71 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $89.13 | $89.13 | $95.50 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
United
| Professional | $56.23 | $70.79 | $95.50 |